Objectives: To review the treatment and outcome of patients who underwent endovascular therapy for cerebral
vasospasm secondary to aneurysmal subarachnoid haemorrhage (SAH).

Methods: Medical records of patients who underwent endovascular therapy at a regional hospital from July 2014
to June 2015 for cerebral vasospasm secondary to aneurysmal SAH were reviewed.

Results: Six women and one man aged 45 to 78 (mean, 56) years had grade-4 aneurysmal SAH and underwent
16 consecutive sessions of endovascular therapy for vasospasm after a mean of 7.5 (range, 4-12) days. They
were followed up for at least 10 months. Intra-arterial verapamil was administered at all 16 sessions. In six of
the 16 sessions, verapamil injection was followed by percutaneous transluminal balloon angioplasty. All but one
session resulted in an immediate angiographic response. There was no treatment-related death or procedural
complication. Four patients were free of major motor impairment and had immediate clinical improvement. The
remaining three patients had poor outcome or died; all required repeat angioplasty and showed no immediate
clinical improvement.